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Home My WebLink About2012-00740 - plumbing N " CITY OF ORONO � 2750 KELLEY PARKWAY * 2 0 1 2 0 fD 7 4 0 * DATE ISS D: 08/OU2012 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2670 KELLEY PKWY �i'Z�S� PIN I : 33-118-23-12-0062 LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYP� : FIXTURES-MULTIPLE NOTE: 2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 LALJNDRY TRAY, 1 W HER VALUATION OF PLUM$ING 4000 AP LICANT PLUMBING FIXTURE FEE 50.00 AMERICAN MECHANICAL CO,INC. 7120 71ST AVE.N. II STATE SURCHARGE PLBG(VALUATION) 2.00 PO BOX 205 MAIL-IN FEE 2.00 LORETTO,MN 55357- MISC FEE 0.00 (612)750-0278 TOTAL 54.00 WNER Citizens Independent Bank 5000 36TH ST W ST LOUIS PARK,MN 55�16- AGREEMENT AN SWORN STATEMENT The work for which this permit i issued shall be performed according to the approved plans and specifica'ons,applicable City approvals,and the State Building Code. This permi is for only the work described and does not grant permission for addition 1 or related work which requires separate pertnits. All provisions of laws d ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void f construction authorized is not commenced within 180 days of t e date of issuance,or if construction is suspended for a period of 180 da s at any time after work has commenced. The applicant is responsible for suring all required inspections are requested in conformance with th State Building Code.This permit may be revoked at any time for due caus �/�� / / / / Applicant Permitee Signature Date Issued By S' ature Da e SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOVE. , �. � �� FOR CITY USE ONLY ' �°` City of Orono �� P.O.Box66 DateReceived: Permit# `'`�._ ��; 2750 Kelley Parkway �a b�'!. �� Crystal Bay,MN 55323 Approved By: Amount$: � `� ''�k:,y,o ' (952)249-4600—Main `'��'��' (952)249-4616—Fax _=�-,_::.. CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) l�tt�:ile��er��.cl[i.na►a.=��«`�1��:��"t.��,��'[)f�0�e ��c�� asa�ar�a� � a, c!#` GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERM[T. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building petmit must be obtained. 5. All work must be done in accordance with State Code requirements. � 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 ) �Residential ❑Commercial (Approval Required) 0 New [�'Additional ❑ Repairs ❑ Replace / ❑ In Accessory Structure? *You will need prior approval and may need C(1�'.(Per Orono City Code,Chapter 78,Artic�e IV) Job Site/Owner Information: Site Address: �[�� f � � ��1� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ' � �'�e �, Contact Person: � l ��Cf -� lpi Address: ��' ��\ State Bond#: �� (1�� City: LU Zip�� Expiration Date: �� Phone: ��7gZ�� 7'J Alternate Phone: �(lJ�- C!�� / ��/f � Insurance—Current: 1 , � PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT � ZN� OTNER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory � Sewer Ejector Bathtub I l,aundry Tray Shower � W asher / Kitchen Siuk � Water Heater � Disposal ' Water Softener Dishwasher r Wet Bar I Sillcocks Miscellaneous �� PERMIT FEE CA�,CULATION(S) � �� BASED OFF - 2002 S'TATE STA7�'UE � � �� ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: I. Does not require modification to electrical or gas service. ?. Has�toia! �ost of;5C0.�O or less;exc;ud;i�thc c��st of the fixt:are or ap�,liance:and 3. Is improved, installed or replaced by the homeowner or licensed plumbing contractur. Skip next section, if this applies; Cost of Permit $ I5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) � 2 I . . � . � PERMIT FEE CALCULATION S —JOBS OVER $500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ""� � x.0125$ �� (contract price) (minimum$50.00) 2. STATE SURCHARGE � /Ov� E� x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $_�L(_ ■ * COTJTRACT PRICE or JOB COST mPans the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. [t is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute�on the amount of the job cost, the City may request the submission of a signed copy of the actual cdntract. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accardance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. � _ .�r2 ', Applicant's Signature: Date: � �� , �- Reset Form 3 �(a.��7�(� DATE TIME � CITY OF ORONO ' ca� D IN INSPECTION NOTICE `, S EDULED ' -�Z-- -� PERMIT NO. eZO��a'—��z d MPLETED ADDRESS o��v�0 �L�GU ;�o?/ � OWNER I TELEPH E NO. CONTRACTOR ��d� `�� DESCRIPTION � ��n�- �`� �pL.l'� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING � ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB I ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL � � SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE I ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI I ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO EET YOU:_YES_NO � COMMENTS: W i a � 5 �r�� ,� � �iv� �-� � 0 � �C� �� •-- j A i 1L.2 � o c'� /'P�. W � Q � Z I W ' � � I � I d W� ❑WORKSATISFACTORY:P EED �OJECTCOMPLEfE W O CORRECT WORK 8 PROC ED �1,�SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL F�R REINSPECTION ��PORARY V BEFORE COVERING I '1/ pERMANENT ❑CORRECTUNSAFECOND IONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL R ItRN �STOP ORDER POSTED.CA L INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.C�1LLT0 ARRANGE ACCESS. Call for the ne�t inspection 24 hours in advance. (952) 249-4600 Owner►Contractor on�ite: Inspector. White Copyllnsqector's File Canary CopylSite Notice I